Evidence‐Based Practice in Maintenance of Central Venous Catheters Among Intensive Care Unit Nurses: A Cross‐Sectional Multi‐Center Study

作者：T. Zhou, Chunlei Li, Zhe Wang, Mayi Yang, Xiaofeng He, Yan Hu · 发表于：Journal of Clinical Nursing · 年份：2025 · 被引用次数：13 · 研究领域：Central Venous Catheters and Hemodialysis、Infection Control in Healthcare、Nosocomial Infections in ICU

AIMS AND OBJECTIVES: To investigate evidence-based practices and examine rates of adherence to bundles on maintenance of central venous catheters among intensive care unit nurses in 22 selected hospitals. BACKGROUND: Although there has been an overwhelming increase in the use of evidence-based practices to reduce Central Line-Associated Bloodstream Infections, also known as bundles, there continues to be a considerable gap between clinical practice and evidence. DESIGN: This study employs a multi-center cross-sectional design. METHODS: Registered nurses who worked in the ICUs of 22 selected hospitals were included. Evidence-based procedures were developed based on Central Line Bundles, which include an 11-area and 35-item checklist. Rates of adherence to bundles were calculated and analysed after reaching 22,000 central line days in 22 units. The study was reported using the STROBE checklist. RESULTS: The average adherence rate to evidence-based procedures for CVC maintenance among ICU nurses in the 22 units was 87.40%. The adherence rate of five areas of the evidence-based procedure based on the Central Line bundle was above 90%, including 'Selection of regulated skin disinfectants', 'Tube sealing', 'Tube flushing', 'Dressing and catheter fixation' and 'Sterilized skin and catheter'. The three lowest-achieving areas of bundles were 'Catheter and insertion site assessment,' 'Hand hygiene' and 'Sterilized catheter access hubs'. The lowest-achieving item of bundles is 'Assess d...